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<br /> N0T10E OF REED RESTRtGTIONS; The underslgned understands that thls permit may be subJect to"desd"restrlctlans"
<br /> which mey be more restrlctive than Counry ragulatlons, The undersigned assumes responsibllity for compllance wlth any
<br /> appilcabfe daed restriatlons.
<br /> UNGiCENSEp CON1'RACTORS AND CON'iRACTOR RESPONSIB1�kT{E8: lf the owner has hlred a contractor or
<br /> contractors to undertake work,they may be requlred to be Ilcansed In accordance wlth state and Iocal regulatfons, If the
<br /> M con#ractor is not llcsnsed as required by law, bath the owner and contractor may be cited for a misdemeanor violatlon
<br /> under state law. If tha owner or Intended confracEor are uncerEa(n as ta what Ilcansing requlrements may apply for the
<br /> intended work,they are advised to cantact the Pasco County Bullding Inspection Divlsion—Licensing Section at 727•84'I-
<br /> 80Q9. Furthermore, If the owner has hired a contractor or contractors, he Is advlsed to have the contractor(s) sign
<br /> portions of the"contractar Slock"of thls appllcation for whlch they wili be respanslble. lf you, as the awne�slgn as the
<br /> contractor, that may be an Indlcatlon that he Is not properly Ilcensed and Is not entilled to permltting prlvlleges In Pasco
<br /> County.
<br /> TRANSPOR7ATlON(MPACT/UT1Li1'lE5 SMPACT AND RESOURC�RECOVERY FEES: The undersigned ur�derstancls
<br /> that Transportatlon Impact Fees and Recourse Recovery Fees may apply to the constructlan of new bulldings, change of
<br /> , use In exlstl�g buildings, or expanslan of exlsting bulldings, as speolfied ln Pasco Gounty Ordinance number 89-07'and
<br /> � 90-07, as amended, The underslgned also understands, thst such fees, as may be due,wlll be idenli�sd at the tlme af
<br /> permltting, It Is furlher understood that Transportatlon Impact Fees and Resource Recovery Fees must be pafd prlor to
<br /> recelving a"ce�tificate of 000upancy"or fir�a) powar release. If the proJect doas not Involve a certlflcate of occupancy or
<br /> final power release, the fees musf be pald prlar fo permlf Issuance. Fur�hermare, If Pasco Caurtty WaferlSeWet Impact
<br /> fees are due,they must be paid pripr to permit issuanoe In accordance wlth applicable Pasco County ordlnances,
<br /> GOt�15TRUCT{ON LIEN LAW(Ghapter 713,F{orlda Statutes,as amended): If valuatlon of work Is$2,500,00 or mare, I
<br /> csrtify that !, the spplicant, nave bsen provlded with a copy of #he "Florlda Canstructlan �len �.aw—Fiomeowner's
<br /> Protectlon Gulde" prepered by the Florida Depertmant of Agriculture end Cansumer Affairs, If the applicant fs someone
<br /> other than the"owner", I certify that!heve obtained a copy of the above descrlbed document and promise in good falth to
<br /> deliver If ta the"ownar"prlor ta cammencemettt.
<br /> CON7RAC70R'S/OWNER'8 AFFIpAVIT; I certlfy thet ell tha Informetlon In this applicatlon (s accurafe and ihet all work
<br /> will be dona!n compllance with all applicable laws regulating constructlon, zoning and land develapment, Application is
<br /> hereby made to obtaln a permlt to do wark and lnstalEa#{an as Indlcated, I certlfy that no wark or Installatlon has
<br /> commenced prior to Issuance of a permlt and that all work wlll ba pertormad to meet standerds of all (aws regulating
<br /> constructlon, County end Glty codes, zoning regulations, and land development regulations in the Jurisdictlon, I also
<br /> aertlfy that I understand tha#the ragulatEons of ather governtnen!agenclss may appiy to the intended wor4c,and that!t Is
<br /> my responsibility to ldentify whet actions I must fake io be ln compilance, Such agenclss Inaiude but are nat Ilmited to;
<br /> • Department of Environmental Protectlon-Cypress Bayhsads, Wetland Areas and Environmentally Sensltive
<br /> Lends,WateriWastewater Treatmant,
<br /> • Southwest Florida Water iNanagemeni Dlsfrlct-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses,
<br /> ' - Army Gorps of Enginears-8eawaiis,Docks,Navigabie Waterways.
<br /> - Department of Neaith & Rehabilitative 8ervlaes/EnviranmenEal Nealth Unit-We13s, Wastewater Treatmenf,
<br /> 8eptic Tanks,
<br /> - U5 Environme�tal Protect{on Agency-Asbestos abatement,
<br /> - Federal Aviatlon Authorlty-Runways.
<br /> I understand that the following restrictions apply to the use of flll;
<br /> i - Use of fif!is not allowed in Flood Zone"V"unless expressly permltted.
<br />; • !f fhe fill meferla4 is to be used in Flaod Zona "A", !t ►s undersfood tha# a dralnage plan addressing a
<br /> "compensating voluma"will be submitted at time of parmitting which Is prepared by a professlonal enginf�er
<br /> licsnsed by khe Stake of Florlda,
<br />� - lf ths fill mafarlal Is to be ussd In Flood Zone "A" I� connectian wlfh a germlited buliding using stem wall
<br /> constructlon,I certlfy that flll wlll be used only to flll the area wlthln ihe stem walL
<br /> - !f fill mekerlal Is to be used In any area, I cerkify that use of such flll will not adversely affect adJacent
<br /> propertles. 4f use af fill Is(ound to adversely affect adJaoent propertles,the owner may be cited for vlalating
<br /> the conditlons of the bullding permit Issued under the attached permlt applfcation, for Iois less than one (1)
<br /> acre whlch are elevated by flll,an englneered drainage plan Is requlred,
<br />� I(I am ths AGENT FOR THE OWNER,i promIse in good falth to lnform the owner of tha permltfing conditlons se#fortti In
<br /> thls affidavil prior to commencing construction, I understand that a separate permft may ba required for electrical work,
<br /> I plumbing, slgns, welis, pools, alr conditloning, gas, or other Installatlons nat speciflcally Included In the applicatlan. A
<br /> permlt Issued shall be construad to be a ilcensa to proceed wlth the work and not as au#horl#y io violate,cancai,alter,or
<br /> set aside any provisions of the technical cades, nor shall Issuance df e permft prevent the Building Officlal from tharea�fer
<br />' requlring a correction of errors in plans,constructlon or vlolatlons of any codes, Every permlt Issued shall become Invalid
<br /> unless the work authorized by such permlt Is commenced wlthln six months af permit lssuance,or!i work autharized by
<br /> the perm�t is suspended or abandoned for a per(od of s�x(6)months after the fime the work Is commenced, An sxtsnslon
<br /> may be requested, In wrlting, from the Bullding Officlal for a perlod not to exceed nlnety (90) days and wlll demonstrate
<br /> Justifleble cause for ihe e�ension. if work ceases for nlnety{94}consacutive days,the Job Is considered abandoned,
<br /> WARNING 70 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYtNG TWiCE FQR lMPFtOVEMENTS TQ YOUR PR4PERTY. IF Y4U INTEND TO OBTAIN FINANCING,CONSULT
<br /> WI7H YOUR LENDER OR AN TT�3 NEY SEFORE RECORDING YOUR NOTiCE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S,117 ) �j D
<br /> OWN R OR AGENT t� � `� GONTRACTOR ""'��� '
<br /> S ribe e sworp,fo o�gffirme b e me ihls Su scrlb���a d swor a( r affir_m�ed�6gIore ft�ts, I�,, �
<br /> by l"aS2.'t'V� �c.l f1.�. �����Z�a by ,,�C��'1`t-e-U �JC�{.I-e-�C1'�..�.
<br /> Who slar personellv knowa to me or he have produced I�p Islalf personelly known to me�r hes/have produced
<br /> ""' as ldentlficstlon, as ldentiBcatlon.
<br /> � . �//f � �
<br /> � /��;7�,,_Notary Public � v `� Natary Pubila
<br /> Commis lon , �,; l Commiss` o, �v ��`-E�'�
<br /> C7v V
<br /> Na Notsry typ , nt r stemped Name of Notary typed,pri fad or stemped
<br /> t��a�B JOY A,VITO
<br /> e°,.•••.,�% OY 0 1PaY aue
<br /> MY MlSSIQN#�F Q39580 �°:•'•`'�'°
<br /> � * MY C4A�M1SSlON�FF 039560
<br /> EXPiRES:August 3,2017 � * EXPIRES;August 3,2017
<br /> �'�9rFOF F��a`O� Bended Thru Budget Notary Services `�'or� P�°P Banded Thru Budget Notary Services
<br /> -oFftia
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